| NPI | 1184871154 |
|---|---|
| Former Name | RENEA LYNN MOSSHOLDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2009-08-12 |