| NPI | 1477872208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10038050 551019) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |