| NPI | 1962191445 |
|---|---|
| Former Name | ANNIKA MARIE DIRKSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC DIRK-7Z1LKC) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-08-09 |