| NPI | 1003640020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2406122-TRNE) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2025-08-07 |