| NPI | 1639757750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2086S0129X (Licence: IL 036.180534) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2026-06-19 |