NPI | 1104328145 |
---|---|
Former Name | ERIN M SHEPHERD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT8481) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 36574861) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 36574861) | |
Enumeration Date | 2018-03-06 |
Last Update Date | 2021-10-21 |