| NPI | 1306088703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 6698) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 233920) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.018519) | |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2013-11-01 |