| NPI | 1568150407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151017086) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5151017086) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2025-11-20 |