| NPI | 1134863707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL23-0519) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC REIL-I71L7I) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2023-05-20 |