| NPI | 1538457338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CT 54034) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MB09983300) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2018-10-25 |