NPI | 1750495339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD00027847) |
Additional Taxonomies | 174400000X Specialist (Licence: WA MD00027841) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2019-10-17 |