NPI | 1518253145 |
---|---|
Former Name | ASHLEY NICOLE STERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-4171) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL2956) |
Enumeration Date | 2011-06-22 |
Last Update Date | 2021-01-11 |