NPI | 1497110704 |
---|---|
Former Name | PAIGE ELYSE NUNEMACHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT000735) |
Enumeration Date | 2015-12-31 |
Last Update Date | 2015-12-31 |