| NPI | 1598926685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116020612) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0116020612) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2009-04-10 |