NPI | 1902367261 |
---|---|
Former Name | KATIE-JOY FRANCES DYER ZIMMERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-28 |
Last Update Date | 2019-03-28 |