| NPI | 1396254157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: CO DR.0072866) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2025-05-12 |