| NPI | 1285206136 |
|---|---|
| Former Name | SAMANTHA NICOLE MCTEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601002102) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT005906) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WA 60865271) | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |