| NPI | 1174395099 |
|---|---|
| Former Name | VANESSA NICOLE TAUBENHEIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60908016) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |