| NPI | 1255527610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60246597) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 238264) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2021-06-27 |