| NPI | 1306165295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX R4818) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2015032305) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY 51357) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TN 58141) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NC 2013-02427) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2022-04-04 |