| NPI | 1205256799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: PA OS020862) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2021-09-30 |