| NPI | 1902309719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ID 4171440) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD61480839) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2024-12-24 |