| NPI | 1841432366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: NM MD2018-0436) |
| Additional Taxonomies | 2085N0904X (Licence: WA MD60479631) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2025-02-14 |