| NPI | 1639667462 |
|---|---|
| Former Name | CHRISTINE POST JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 238456) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |