NPI | 1073189858 |
---|---|
Former Name | ERIN ASHLEY SPITZNOGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IA 00526) |
Enumeration Date | 2021-06-02 |
Last Update Date | 2021-06-02 |