| NPI | 1366436685 |
|---|---|
| Former Name | ELIZABETH ANN ST. GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MD A0000176) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2021-09-07 |