NPI | 1477542348 |
---|---|
Former Name | DIANE E. SHULER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2015014041) |
Enumeration Date | 2005-10-13 |
Last Update Date | 2022-08-11 |