| NPI | 1316764335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 060005176) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY I16790) |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |