| NPI | 1497026447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA 20A12439) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A12439) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2021-02-05 |