| NPI | 1013120294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: FL ME119908) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME119908) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MD D0065555) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2019-02-25 |