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 |