| NPI | 1750560900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: WA ma00022659) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |