| NPI | 1174812333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 123506) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2014-05-28 |