| NPI | 1306978119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0063879) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CO DR.0063879) |
| 225100000X Physical Therapist (Licence: CA PT 33313) | |
| 225100000X Physical Therapist (Licence: LA PT 07500R) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-06-26 |