| NPI | 1023878162 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NONE) | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT NONE) | |
| Enumeration Date | 2024-03-19 | 
| Last Update Date | 2024-06-25 |