| NPI | 1477118404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 374700000X Technician |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2023-11-01 |