| NPI | 1710041819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MD D0019265) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |