| NPI | 1083050652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: OH 35.152712) |
| Additional Taxonomies | 2085R0001X (Licence: MA 283042) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2025-04-03 |