| NPI | 1518118967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX TMB PIT # BP20031323) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-06 |