| NPI | 1649730599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: RI MD19785) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-08-06 |