| NPI | 1205445681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.152965) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 000000) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2025-03-24 |