NPI | 1255736195 |
---|---|
Former Name | ERIKA LYNNE KASTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 3175-39) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT001537) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2024-02-24 |