| NPI | 1730674813 |
|---|---|
| Former Name | RAISA RAZALAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2022021769) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2024-12-15 |