| NPI | 1326629429 |
|---|---|
| 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: TX 2840) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2025-02-25 |