| NPI | 1306189030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: PA MD481982) |
| Additional Taxonomies | 2085R0001X (Licence: OH 35.134682) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA 29251910) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2023-09-13 |