| NPI | 1447090220 |
|---|---|
| Former Name | KALIE AN WHITEHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2023023906) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |