| NPI | 1699125922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MI 4301110227) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-08-31 |