| NPI | 1740809474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM DOL.OL.61310784) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA DOL.OL.61310784) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2024-04-15 |