NPI | 1831452168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MN 56510) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 56510) |
Enumeration Date | 2012-06-21 |
Last Update Date | 2017-11-20 |