NPI | 1467110395 |
---|---|
Former Name | RACHEL LYNN EGELHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT005206) |
Enumeration Date | 2021-12-08 |
Last Update Date | 2021-12-08 |