| NPI | 1750756771 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA IR 60469261)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PI-0012097)  | 
| Enumeration Date | 2015-12-02 | 
| Last Update Date | 2015-12-02 |