| NPI | 1053878397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1801036-TRNE) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |