| NPI | 1114322617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |