| NPI | 1598451072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2406107-TRNE) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2024-09-10 |