| NPI | 1730138389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD00023045) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: WA MD00023045) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2015-06-17 |