NPI | 1114548310 |
---|---|
Former Name | SARAH KLOPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: UT 9887778-4810) |
Enumeration Date | 2020-04-29 |
Last Update Date | 2020-04-29 |