| NPI | 1134595028 |
|---|---|
| Former Name | ELIZABETH DEMYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH 2000010917) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |