| 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 |