| NPI | 1518761303 |
|---|---|
| Former Name | KATIE COLEEN NETTESHEIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN 281419) |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-02 |