NPI | 1275003303 |
---|---|
Former Name | HALLE LAMBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT8923) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AR 922) |
Enumeration Date | 2018-12-02 |
Last Update Date | 2022-06-15 |