| NPI | 1730544644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN36333) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA E3151199) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2022-11-14 |