NPI | 1124600093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN X000-057-306-400) |
Enumeration Date | 2021-04-21 |
Last Update Date | 2021-04-21 |