| NPI | 1063689644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: FL ME108104) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2013-09-27 |