| NPI | 1275233462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2025021028) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024024320) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2025-06-30 |