NPI | 1124408729 |
---|---|
Former Name | CATHERINE NEWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601001351) |
Enumeration Date | 2015-06-09 |
Last Update Date | 2018-05-03 |