| NPI | 1447044102 |
|---|---|
| Former Name | ELIZABETH KATHRINE BONILLO-RUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-08-05 |