| NPI | 1508443524 |
|---|---|
| Former Name | KATHLEEN RYAN LALONDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MI 2601001181) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: 2000000907) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |