| NPI | 1316173156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: NJ 25MA12934900) |
| Additional Taxonomies | 2084N0600X (Licence: NY 277198) |
| 2084N0600X (Licence: CA A116813) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2025-12-16 |