| NPI | 1487901146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: TX P5718) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101022128) |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2024-03-20 |