| NPI | 1902040512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS20280) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL 20280) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2024-07-16 |