NPI | 1497817910 |
---|---|
Former Name | CHERI DRYSDALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RTO000115) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00105700) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2017-08-14 |