| NPI | 1689555302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 1689555302) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1689555302) |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2026-05-19 |