| NPI | 1609031681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WA 60161505) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA 60161505) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2014-08-11 |