| NPI | 1922772607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: FL PTA31323) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |