NPI | 1255853164 |
---|---|
Other Name | KRISTY MARIE HASKELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: PA 1992831036) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2017-07-12 |