NPI | 1346516663 |
---|---|
Former Name | CHRISTINE HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MT ATR-LAT-LIC-142) |
Enumeration Date | 2012-03-30 |
Last Update Date | 2022-02-23 |