NPI | 1588455877 |
---|---|
Former Name | KATHERINE MAE BENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL0011027) |
Enumeration Date | 2025-05-15 |
Last Update Date | 2025-07-14 |