| NPI | 1699749895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: FL ME111640) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD33627) |
| 208000000X Pediatrics (Licence: PA MD047884L) | |
| 208000000X Pediatrics (Licence: FL ME111640) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2013-03-14 |