| NPI | 1194970541 |
|---|---|
| Former Name | ERYNNE NICOLE BROTHERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TN 070202254) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 07003020) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2024-08-29 |