| NPI | 1508123282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60584733) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA ML60362328) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2022-03-24 |