| NPI | 1811214786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ND 15303) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD455877) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 54367) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 105626) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT197074) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2023-10-17 |