| NPI | 1780444513 |
|---|---|
| Other Name | SHANTELE LOUISE KEMP VAN EE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |