| NPI | 1114076544 |
|---|---|
| Former Name | EVA ANNE BAETEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 1678-39) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 96002146) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-07-23 |