| NPI | 1588076038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 00000000000000000) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |