| NPI | 1164942868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: WA MD60965451) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301112655) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60965451) | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2025-05-01 |