NPI | 1548622640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NV 21260) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A150521) |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NV 21260) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NV 21260) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-28 |
Last Update Date | 2022-06-20 |