| NPI | 1235454968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: IL 036.146827) |
| Additional Taxonomies | 2086S0129X (Licence: VA 0116029794) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2021-04-28 |