| NPI | 1245678101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NV DO2910) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MT 77853) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-06-02 |