| NPI | 1649597592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: RI MD15137) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY #390200000x) |
| 2081H0002X (Licence: RI MD15137) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2022-02-21 |