| NPI | 1518346154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME141198) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101271182) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2022-06-16 |