| NPI | 1669890166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 296701) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX R5480) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2022-09-12 |