NPI | 1376055350 |
---|---|
Former Name | SARAH ANNE FLORIDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MI 2601000938) |
Enumeration Date | 2017-10-30 |
Last Update Date | 2017-10-30 |