| NPI | 1790363273 |
|---|---|
| Former Name | DANIELLE YUKIKO SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11022458A) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2023-12-16 |