| NPI | 1194450932 |
|---|---|
| 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: MA 294170) |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2025-06-09 |