NPI | 1225270457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 57448) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208100000X Physical Medicine & Rehabilitation (Licence: OH 098993) | |
Enumeration Date | 2009-04-02 |
Last Update Date | 2014-12-14 |