| NPI | 1780225169 |
|---|---|
| Former Name | CLARISSA MARIE BARAIAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MI 1689148) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |