| NPI | 1689244865 |
|---|---|
| Former Name | REGINA RAE DEPUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2025-07-23 |