NPI | 1295037802 |
---|---|
Former Name | LINDA MARIE MUELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT.003336) |
Enumeration Date | 2010-12-02 |
Last Update Date | 2013-01-02 |