| NPI | 1780669325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: TX U9187) |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: AZ 51885) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: FL ME111475) | |
| 208000000X Pediatrics (Licence: TX U9187) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2024-03-08 |