NPI | 1356719900 |
---|---|
Former Name | ALLISON (ALLEE) DONAGHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36002085A) |
Enumeration Date | 2015-09-11 |
Last Update Date | 2015-09-11 |