| NPI | 1205938040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 23922) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD00046856) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2024-06-27 |