| NPI | 1215473715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0126002590) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: VA 0126002590) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2024-01-07 |