| NPI | 1760062368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5315224910) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351047940) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2022-05-31 |