| NPI | 1841252665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PR 10410) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 10410) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2010-11-10 |