NPI | 1386289577 |
---|---|
Former Name | HANNAH BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WV AT001724) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2255A2300X Specialist/Technologist, Athletic Trainer | |
Enumeration Date | 2019-11-11 |
Last Update Date | 2024-07-08 |