| NPI | 1760144869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |