NPI | 1528341831 |
---|---|
Former Name | JENNIFER JAN NAUMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL 1049) |
Enumeration Date | 2011-09-22 |
Last Update Date | 2011-09-22 |