| NPI | 1760196562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: MI 4704326676) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-06-29 |