| NPI | 1487479705 |
|---|---|
| Other Name | KENZY GRACE MARKELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |