| NPI | 1790297828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: VA 2305004213) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |