| NPI | 1790621415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 2278G0305X Respiratory Therapist, Certified, Geriatric Care | |
| Enumeration Date | 2026-04-25 |
| Last Update Date | 2026-04-25 |