| NPI | 1275141897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4351047928) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-04-20 |