| NPI | 1760702609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MI 5101018604) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101018604) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2023-05-05 |