| NPI | 1427522960 |
|---|---|
| Former Name | ALEXIS MICHAELA KOZAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL S12428) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2024-11-13 |