| NPI | 1134614472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD479718) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 1014551) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2025-04-09 |