| NPI | 1396254157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: CO DR.0072866) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0072866) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0072866) | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-10-09 |