| 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 |