NPI | 1376072314 |
---|---|
Former Name | MORGAN WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: GA AT003255) |
Enumeration Date | 2017-06-04 |
Last Update Date | 2025-08-20 |