| NPI | 1730116682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MI 4304065585) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-10-22 |