| NPI | 1215419981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.1800504-TRNE) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |