| NPI | 1215685805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL V422-780-95-960-0) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-14 |