| NPI | 1457532335 |
|---|---|
| Former Name | ROBIN ELAINE KENNEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 0789) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |