| NPI | 1356978100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: ID 2571647) |
| Additional Taxonomies | 2085R0001X (Licence: WA 61631519) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-07-02 |