| NPI | 1982494027 |
|---|---|
| Former Name | JOANNA GRACE KLANSEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.259086) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |