| NPI | 1598114258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088P0231X (Licence: TN 68861) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301109764) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2023-10-26 |