| NPI | 1619364809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD S-560-209-751-843) |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2015-04-25 |