| NPI | 1952713109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: CO DR.0066790) |
| Additional Taxonomies | 2085N0700X (Licence: NY 292413) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2021-08-31 |