| NPI | 1609618016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351053073APP24) |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-14 |