| NPI | 1477817740 |
|---|---|
| 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: VA 0101254482) |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2022-09-28 |