| NPI | 1407200777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 75823) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A168014) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2023-06-13 |