| NPI | 1851602494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 72260) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 72260) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 165785) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2023-04-27 |