| NPI | 1053949172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 94-10350) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2022024859) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2022-07-06 |