| NPI | 1760981633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| 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: 6110185) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2023-05-11 |