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 |