| NPI | 1073133815 |
|---|---|
| Former Name | STEPHANIE SARAH D'SOUZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 261116) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |