| NPI | 1356738983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 87501) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 304917-01) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0062830) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2026-07-31 |