| NPI | 1588246698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: MN 79074) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL21-0607) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC MCLE-VSJH6U) | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2025-06-23 |