| NPI | 1699301325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD496064) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2021023158) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0011075) | |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2026-07-06 |