| NPI | 1407902000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 50060) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO 50060) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2015-05-15 |