| NPI | 1255762415 |
|---|---|
| Other Name | ADELINE CHRISTINE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126001557) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |