| NPI | 1528426541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI F630135108086) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2019-04-12 |