| NPI | 1043960784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: OH 28311) |
| 376K00000X Nurse's Aide (Licence: OH 401994130817) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-03-25 |