| NPI | 1144563370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: ID M-14142) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085R0001X (Licence: CO DR.0072108) | |
| Enumeration Date | 2013-04-06 |
| Last Update Date | 2025-02-21 |