| NPI | 1073059986 |
|---|---|
| Former Name | COURTNEY LEIGH CASTILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0001558) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO AT.0001558) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2018-03-17 |