| NPI | 1790239945 |
|---|---|
| Former Name | LYSANDRA LEAH CACERES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |