| NPI | 1447663562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: TX S7284) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S7284) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2020-11-06 |