| NPI | 1043718638 |
|---|---|
| Former Name | EMILY PAIGE SKINNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AL 2293) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2022-06-27 |