| NPI | 1992230130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 1014798) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2024-02-23 |