| NPI | 1740797067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2021-05-17 |