| NPI | 1659535714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: PA MD 445130) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MT 189280) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2013-04-24 |