| NPI | 1073171369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA 20A22330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076979) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2025-07-08 |