| NPI | 1841599305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NV 16757) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60539005) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2020-11-25 |