| NPI | 1851916100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125076624) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.076624) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 25MA12125700) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2024-06-14 |