| NPI | 1255577854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 491578041) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1488232) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |