NPI | 1538428479 |
---|---|
Former Name | KARA EILEEN FORDYCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA PI113153) |
Enumeration Date | 2012-05-13 |
Last Update Date | 2012-05-13 |