| NPI | 1487813655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: FL ME139238) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 288780) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL ME139238) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2022-08-25 |