| NPI | 1497290464 |
|---|---|
| Other Name | ANGIE BOTTO-VAN BEMDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL 1626) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |