| NPI | 1346473055 |
|---|---|
| Former Name | LUCILE SARAH GROSSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RC60038949) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |