| NPI | 1871097097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX V8008) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.164107) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2026-07-01 |