| NPI | 1306551924 |
|---|---|
| Former Name | HALEY CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096004753) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2019015073) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-01-18 |