| NPI | 1033969860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: CA 14652) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 14652) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-10-19 |