| NPI | 1205611969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MT BBH-ACLC-LIC-50178) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |