| NPI | 1477059293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2088P0231X (Licence: PA MT228138) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-06-27 |