NPI | 1306203393 |
---|---|
Professional Name | IVA DARKINA WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-1653) |
Enumeration Date | 2016-01-21 |
Last Update Date | 2016-01-21 |