NPI | 1013445741 |
---|---|
Former Name | CHRISTINA SCHMIDGALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL3105) |
Enumeration Date | 2017-05-25 |
Last Update Date | 2017-05-25 |