| NPI | 1912497280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.256214) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT214981) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 1.067692-RES) | |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2024-06-14 |