| NPI | 1316734122 |
|---|---|
| Former Name | GRACE FRANCES WITTENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351053863) |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2026-06-01 |