| NPI | 1194390443 |
|---|---|
| Other Name | MAGGIE LILLIAN FENNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC FENN-812FG6) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |