| NPI | 1912963711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA OP61044108) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101011645) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: WA OP61044108) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2024-03-06 |