| NPI | 1750387247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WV 13871) |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: WV 13871) |
| 208100000X Physical Medicine & Rehabilitation (Licence: OH 35045295) | |
| 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: OH 35045295) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2015-08-14 |