| NPI | 1093791329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NC 009500121) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2010-11-15 |