| NPI | 1104138247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60477413) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ID M13389) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2025-11-24 |