| NPI | 1669230991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: TX 803279) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |