| NPI | 1598924417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: WA OP60410422) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA OP60410422) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2021-06-23 |