NPI | 1356663710 |
---|---|
Former Name | GINGER LEI CHIEMI SALERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NV 0506199) |
Enumeration Date | 2010-02-25 |
Last Update Date | 2015-04-30 |