| NPI | 1659900934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NJ 25MB12801600) |
| 208000000X Pediatrics (Licence: NJ 25MB12801600) | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2025-09-12 |