| NPI | 1497980114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X (Licence: TX S7673) |
| Additional Taxonomies | 2086S0129X (Licence: AZ 79191) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2025-12-01 |