| NPI | 1306194915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: OH 34.012242) |
| Additional Taxonomies | 2085R0001X (Licence: IA 1306194915) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-08-30 |