| NPI | 1184870396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WA MD 60465651) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2015-11-06 |