| NPI | 1659072049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK L085007384) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OK L085007384) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |