NPI | 1003932484 |
---|---|
Former Name | ANGELA MARIE EHLERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IA 00387) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2007-07-08 |