| NPI | 1528057882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL me91051) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME91051) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2009-05-19 |