| NPI | 1013284389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WAHL Program Coordinator 716-828-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |