| NPI | 1285462630 |
|---|---|
| Former Name | CHRISTINE BRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601002642) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT004102) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |