| NPI | 1477781532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60343585) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2009011483) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2014-05-06 |