| NPI | 1841267267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: FL ME111021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101231976) |
| 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101231976) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2020-08-11 |