NPI | 1841637121 |
---|---|
Former Name | JESSICA L CARNEVALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 112) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2013-05-28 |