NPI | 1396309845 |
---|---|
Former Name | SHANNON OLIVIA FUJIMOTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-04-30 |
Last Update Date | 2020-08-04 |