| NPI | 1801865183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MI 4301061207) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301061207) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2022-07-29 |