| NPI | 1730928664 | 
|---|---|
| Other Name | AUTUMN LAFLEUR MITCHELL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2024-05-21 | 
| Last Update Date | 2024-05-21 |