| NPI | 1689318099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 207Q00000X Family Medicine (Licence: CA 10597) | |
| 2278G1100X Respiratory Therapist, Certified, General Care | |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-12-02 |