| NPI | 1174951370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: CA A127427) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A127427) |
| 208000000X Pediatrics (Licence: CA A127427) | |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2023-10-06 |