| NPI | 1528520210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WA MD.70018657) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2025-09-10 |