| NPI | 1417048489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD287931) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD00034988) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2026-07-29 |