| NPI | 1851885214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PR 22462) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 33511-R) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-03-15 |