| NPI | 1063832004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: WA MD60680660) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60680660) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2025-05-09 |