| NPI | 1659504165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: NH 24185) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000327) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NH PENDING) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2023-09-13 |