| NPI | 1033395538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: TX P0567) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P0567) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX P0567) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2024-03-06 |