| NPI | 1194485839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 374700000X Technician |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |