| NPI | 1982440194 |
|---|---|
| Former Name | SAVANNAH ROSE PHIPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-04-16 |