| NPI | 1427786540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY p115724) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2023-03-21 |