| NPI | 1659699940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA OP60612324) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS016469) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2016-02-02 |