NPI | 1134687387 |
---|---|
Former Name | KATHRYN ELIZABETH TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT003747) |
Enumeration Date | 2019-03-06 |
Last Update Date | 2021-09-22 |