| NPI | 1619072196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD00015406) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA 15406) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-12-11 |