| NPI | 1801328620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 1013259) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 294210) |
| 208100000X Physical Medicine & Rehabilitation (Licence: PA MD474003) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: PA MT213662) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-09-07 |