| NPI | 1255944492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA f7908911) |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-09-01 |