| NPI | 1063586592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 199347) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 199347) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2014-04-08 |