| NPI | 1629459136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 0892) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 0892) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: WI 7130920) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2023-04-17 |