| NPI | 1932348059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WI 66532) |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: FL OS12718) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL OS12718) | |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2017-01-16 |