| NPI | 1417743501 |
|---|---|
| Former Name | DANIELA NORA YAKOBASHVILI |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-05-28 |