NPI | 1184007130 |
---|---|
Former Name | DARCY LYNN MILLIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KS 24-00997) |
Enumeration Date | 2015-07-08 |
Last Update Date | 2015-07-08 |