| NPI | 1548783970 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-18061) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2017021939) | 
| 208100000X Physical Medicine & Rehabilitation (Licence: AR E-18061) | |
| Enumeration Date | 2017-07-18 | 
| Last Update Date | 2024-08-12 |