NPI | 1043847353 |
---|---|
Former Name | DARCY SUZANNE ROBBINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL6263) |
Enumeration Date | 2020-03-25 |
Last Update Date | 2023-05-30 |