| NPI | 1952755506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: MN 2255A2300X) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-05-17 |