| NPI | 1831750819 |
|---|---|
| Former Name | THERESA KAMINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351044894) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2020-07-01 |