| NPI | 1760725576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: CO CDRH.0068815) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX S7356) |
| 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: TX S7356) | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: TX S7356) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2023-01-04 |