| NPI | 1649954884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI C1520039895305) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |