| NPI | 1154353514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101010168) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101010168) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-12-07 |