| NPI | 1952872095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: WA 60855285) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA P160855285) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |