| NPI | 1578881983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D80175) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D80175) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2018-06-18 |