| NPI | 1356300818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101027193) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101027193) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2011-01-04 |