| NPI | 1366672339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: OH 35127205) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35127205) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2022-02-21 |