| NPI | 1740500776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: OH 35.128943) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 128943) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2026-03-02 |