| NPI | 1124084496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 236231) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 236231) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NY 236231) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |