| NPI | 1639707474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: DE C1-0028234) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0103952) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2025-06-06 |