NPI | 1972171080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD D0102954) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101279032) |
Enumeration Date | 2021-06-15 |
Last Update Date | 2025-07-02 |