NPI | 1134152713 |
---|---|
Former Name | KARLA MARIE SCHWEINEFUSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT001156) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2013-06-06 |