| NPI | 1215253778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD208912) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60458730) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2023-02-10 |