| NPI | 1598968521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA11008300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT 191373) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: DE C7-0003821) | |
| 208000000X Pediatrics (Licence: DE C7-0003821) | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: DE C10010140) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2021-07-19 |