| NPI | 1730261611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MI 4301070908) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301070908) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301070908) | |
| 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: MI 4301070908) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-10-19 |