| NPI | 1184691222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WV 29378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD044119E) |
| 208100000X Physical Medicine & Rehabilitation (Licence: PA MD044119E) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2022-04-12 |