| NPI | 1114433786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NJ 25MB10569500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB10569500) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2023-03-06 |