| NPI | 1477876456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA 00010705) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OR 06147) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |