| NPI | 1952667578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: PA MD474860) |
| Additional Taxonomies | 2086S0129X (Licence: PA FK0680389) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2025-04-15 |