| NPI | 1326605213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: UT 14300943-1235) |
| Additional Taxonomies | 2086S0129X (Licence: SD 15648) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2026-10-08 |