| NPI | 1558956219 |
|---|---|
| Other Name | JENNIFER VITAH TRACHUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2026-06-10 |