| NPI | 1477440980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA MDRE.ML.70115899) |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2026-07-24 |