| NPI | 1992906101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WA OP60286324) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA OP 60286324) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2013-07-16 |