| NPI | 1013411784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: MD D0100615) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0100615) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-08-29 |