NPI | 1184223745 |
---|---|
Former Name | ELIZABETH A. TENORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00142000) |
Enumeration Date | 2020-10-23 |
Last Update Date | 2020-10-23 |