| NPI | 1629721881 | 
|---|---|
| Former Name | MYRA ALEJANDRA RAMOS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA AMFT108306) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA APCC5398) | 
| Enumeration Date | 2022-01-28 | 
| Last Update Date | 2022-01-28 |