| NPI | 1528520319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 73658) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102207805) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2024-07-30 |