| NPI | 1902507940 |
|---|---|
| Former Name | ANESSA PUSKAR TAWAKOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2024-04-03 |