NPI | 1235537200 |
---|---|
Former Name | MICHELLE LEIGH CRONIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT5838) |
Enumeration Date | 2014-12-08 |
Last Update Date | 2014-12-08 |