| NPI | 1275812323 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: CA 20A14180)  | 
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DC Do034574)  | 
| 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A14180)  | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: DC Do034574)  | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MD H0085936)  | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MD H0085936)  | |
| Enumeration Date | 2011-08-08 | 
| Last Update Date | 2020-05-07 |