| NPI | 1164152997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 9415641-3102) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2023-06-14 |