NPI | 1669963278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351051109) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 238938) |
Enumeration Date | 2018-05-21 |
Last Update Date | 2023-08-01 |