NPI | 1295922425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: OH 35.137491) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AL 32586) |
208000000X Pediatrics (Licence: AL 32586) | |
Enumeration Date | 2007-10-02 |
Last Update Date | 2020-01-08 |