| NPI | 1386738979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD00035324) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA 35324) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-12-03 |