NPI | 1780388553 |
---|---|
Former Name | ADRIENNE LAURA FRACZKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-03-28 |
Last Update Date | 2024-10-03 |