NPI | 1194267526 |
---|---|
Former Name | ERIN EILEEN CARANNANTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00159300) |
Enumeration Date | 2016-11-16 |
Last Update Date | 2016-11-16 |