| NPI | 1528418738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 324521) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 10836100) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2025-02-28 |