| NPI | 1255913042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 303349) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 303349) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |