| NPI | 1033458856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 17930) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: GA LD003901) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2025-09-29 |