| NPI | 1073346615 |
|---|---|
| Former Name | ADRIENNE JESSY AMBER WEDDEL |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |