| NPI | 1841558061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 015436) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: NY 015436) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |