| NPI | 1639596638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101279456) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: GA 82836) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: VA 0101279456) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2024-03-04 |