| NPI | 1881005817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A179659) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 49843) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY TP293) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301502094) | |
| 225400000X Rehabilitation Practitioner (Licence: MI 4301502094) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2022-08-09 |