| NPI | 1639854987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL UO10749) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.083441) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2025-06-30 |