| NPI | 1235285834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 54531) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-2004) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 53620) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2014-03-02 |