| NPI | 1700205945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WA MD61033523) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2020-06-25 |