| NPI | 1164803839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 4006) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DC DO034836) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2024-11-08 |