| NPI | 1760242358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085R0001X (Licence: MA 3016296) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2025-03-21 |