| NPI | 1548587652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MO 2004011144) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |