NPI | 1104407238 |
---|---|
Former Name | ALLIE KINSLOE DITTMAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-20 |
Last Update Date | 2021-06-16 |