| NPI | 1285254979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 31190) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2024-07-01 |