NPI | 1265634976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2012023534) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-35894) |
208000000X Pediatrics (Licence: MO 2012023534) | |
208100000X Physical Medicine & Rehabilitation (Licence: KS 04-35894) | |
Enumeration Date | 2007-06-04 |
Last Update Date | 2012-09-06 |