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 |