| NPI | 1285077289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: MD D0085820) |
| Additional Taxonomies | 2086S0129X (Licence: LA PGY.202208) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2018-07-24 |