| NPI | 1780388520 |
|---|---|
| Former Name | GRACE MARIE CALLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-09-08 |