| NPI | 1760632582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: WA ma00012277) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA ma00012277) |
| 247200000X Technician, Other (Licence: WA ma00012277) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2021-02-15 |