NPI | 1902301898 |
---|---|
Former Name | HARLEY DIANE KNUDSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-24 |
Last Update Date | 2018-03-30 |