| NPI | 1841498722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.121576) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 268967) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY 46125) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA 209100000X) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2017-09-22 |