| NPI | 1396063699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: TX P7842) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX P7842) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2023-04-17 |