| NPI | 1013924158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS019876) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 180368-1204) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: UT 180368-1204) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-03-29 |