NPI | 1235437930 |
---|---|
Former Name | KIMBERLY ANN RIEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT.002423) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2011-03-03 |