| NPI | 1639705213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: VA 0119005897) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2023-09-27 |