| NPI | 1578295879 |
|---|---|
| Former Name | SIEGRIED AUDFREY NOVENARIO FLORES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R80335) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2023-06-21 |