NPI | 1225634231 |
---|---|
Former Name | BROOKE ASHLEY MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT3152) |
Enumeration Date | 2020-12-07 |
Last Update Date | 2021-07-08 |