| NPI | 1629480876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MT Med-Res-Lic 52312) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2016-12-19 |