| NPI | 1790168474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: WA MD61087441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10441) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WA MD61087441) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: WA ML60951455) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2020-08-28 |