NPI | 1598294894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA11585700) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0008983) |
208100000X Physical Medicine & Rehabilitation (Licence: PA MT213840) | |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-09-14 |