| NPI | 1447699194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 276367) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 000000000000) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2019-10-10 |