| NPI | 1326582248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MT BBH-ACLA-LIC-18786) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |