| NPI | 1649056698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MT BBH-ACLC-LIC-64427) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |