| NPI | 1023673506 |
|---|---|
| Former Name | LYDIA LEA SANDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10067536) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2023-03-22 |