NPI | 1255023701 |
---|---|
Former Name | LIZETH M ANGELES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 390200000x) |
Enumeration Date | 2023-05-23 |
Last Update Date | 2023-05-23 |