NPI | 1487612511 |
---|---|
Former Name | BARBARA MCDOWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT001244) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2008-01-14 |