NPI | 1538406327 |
---|---|
Former Name | MEGAN IVY HAMMONDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT003829) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126001918) |
Enumeration Date | 2013-01-14 |
Last Update Date | 2025-10-01 |