| NPI | 1093782948 |
|---|---|
| Former Name | CHRISTINE ANNE GOYETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096-001110) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2007-07-08 |