| NPI | 1043471444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital Children (Licence: NC 2011-00076) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 148767) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2021-03-31 |