| NPI | 1336492925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WI 91538) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: WI 81538) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WI 81538) | |
| 225X00000X Occupational Therapist (Licence: IL 056.009622) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2024-12-11 |