| NPI | 1245470780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 291907091) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 291907091) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |