| NPI | 1265011449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.250652) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 57.250652) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-04-06 |