| NPI | 1457528986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 068269) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.091613) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60463507) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2016-10-03 |