| NPI | 1679191746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 374700000X Technician |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-08-23 |