| NPI | 1881033355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1710I1003X Military Health Care Provider Independent Duty Medical Technicians |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2020-06-16 |