| NPI | 1447596622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 14120393061) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2006020125) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2014-12-02 |