| NPI | 1013462357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: OH AT.005074) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH AT.005074) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |