| NPI | 1134655962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 1085785161) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 1085784161) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |