| NPI | 1598807851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A049726) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A049726) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |