NPI | 1477948834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 73079-20) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: WI 7307920) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 591383) | |
Enumeration Date | 2015-04-02 |
Last Update Date | 2021-06-17 |