| NPI | 1164117842 |
|---|---|
| Former Name | DANIELLA SHAMALOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-07-17 |