NPI | 1154064988 |
---|---|
Former Name | MARINA GAETA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 13-3971298) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-04-19 |
Last Update Date | 2022-04-19 |