NPI | 1780135889 |
---|---|
Former Name | LINDSAY MARIE BETANCOURT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA X2G2Z5F8) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA A3L5B5F4) |
Enumeration Date | 2016-10-24 |
Last Update Date | 2016-12-09 |