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 |