NPI | 1639744121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10081097) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 15732-I) |
Enumeration Date | 2021-05-26 |
Last Update Date | 2025-04-03 |