NPI | 1063474062 |
---|---|
Former Name | JENNIFER J. HUELSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT000712) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2008-04-08 |