| NPI | 1386075190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 00000000000000000000) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |