| NPI | 1790105682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: MO 2017010075) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2017010075) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2024-04-25 |