NPI | 1407301716 |
---|---|
Former Name | KATHRYN STALNAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 247200000X Technician, Other (Licence: ND 00000) |
Enumeration Date | 2016-08-17 |
Last Update Date | 2022-01-25 |