| NPI | 1417369133 |
|---|---|
| Former Name | CHANTEL RAE VAZQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ND R39961) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2025-10-07 |