| NPI | 1740629617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: IN 01082025A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301102985) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2019-12-11 |