| NPI | 1588012272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: WA 60368510) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: OR 61487) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2019-09-30 |