| NPI | 1699155382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WI 75711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58.006062) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-02-02 |