| NPI | 1467606442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 289288) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 282NC0060X General Acute Care Hospital, Critical Access (Licence: NY 289288) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2021-07-13 |