| 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 |