| NPI | 1659729093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA OA60801269) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60790383) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2020-05-15 |