NPI | 1952172439 |
---|---|
Former Name | SAMANTHA KAY THOME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2024-01-12 |
Last Update Date | 2024-01-12 |