| NPI | 1154939379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 31909) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL trn31909) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2023-06-05 |