| NPI | 1619533007 |
|---|---|
| Former Name | JOANNA MACORMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174400000X Specialist |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2019-05-12 |
| Last Update Date | 2019-05-12 |