| NPI | 1104240241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD L-140-368-676-751) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2017-03-25 |