| NPI | 1942680483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: MA 1021007) |
| Additional Taxonomies | 2086S0129X (Licence: MD D89869) |
| 2086S0129X (Licence: MN 60698) | |
| 2086S0129X (Licence: PA FC9576010) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2086S0129X (Licence: PA MD471345) | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2025-12-03 |