| NPI | 1487491692 |
|---|---|
| Former Name | ELSIE NICOLE GASAWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2026-04-08 |