| NPI | 1063154599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY R6209) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN34726) | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2023-07-31 |