| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 170300000X Genetic Counselor, MS |
| 1710I1003X Military Health Care Provider Independent Duty Medical Technicians |
| 1744R1102X Specialist Research Study |
| 174H00000X Health Educator |
| 261QH0100X Clinic/Center Health Service |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QP0904X Clinic/Center Public Health, Federal |
| 261QP0905X Clinic/Center Public Health, State or Local |
| 302R00000X Health Maintenance Organization |
| 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2023-03-15 |