| NPI | 1821418419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MI 5101024032) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101024032) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2019-10-14 |