| NPI | 1912438979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: KY 05462) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY 05462) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-03-06 |