| NPI | 1922936343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CDPT.CO.70070263) |
| Enumeration Date | 2026-05-13 |
| Last Update Date | 2026-05-13 |