| NPI | 1154607042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 26NR13258800) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 22 609400) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |