| NPI | 1164059002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO TL.0010469) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0010469) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-07-07 |