| NPI | 1922117977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: UT 4905359-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 4905359-1205) |
| 208100000X Physical Medicine & Rehabilitation (Licence: UT 49053591205) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-12-20 |