NPI | 1215533971 |
---|---|
Former Name | BROOKE LEIGH TROWBRIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: PA RT00613) |
Enumeration Date | 2020-12-08 |
Last Update Date | 2020-12-08 |