NPI | 1518122720 |
---|---|
Former Name | MEGAN DIANE KEMME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT.003052) |
Enumeration Date | 2008-07-28 |
Last Update Date | 2013-07-11 |