| NPI | 1366021461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085R0001X (Licence: IN 11021962A) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2026-01-30 |