| NPI | 1508489725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251E00000X Home Health | |
| 261QS0132X Clinic/Center, Ophthalmologic Surgery | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |