| NPI | 1427133255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WV 27630) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD00041833) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2022-07-21 |