| NPI | 1730185406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 34004342) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34004342) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2013-09-17 |