| NPI | 1780972331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0055790) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA OP60806866) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2022-05-09 |