| NPI | 1952420671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: IA 53967) |
| Additional Taxonomies | 2085R0001X (Licence: IL 036128834) |
| 2085R0001X (Licence: MI 4301085775) | |
| 2085R0001X (Licence: NY 262688) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301085775) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-12-05 |