| NPI | 1841990496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-22 |