| NPI | 1710779939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2506697-TRNE) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-22 |