| NPI | 1376819474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: OH 35.133571) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2018-08-10 |