NPI | 1548534928 |
---|---|
Former Name | SARAH L LISOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 1121-39) |
Enumeration Date | 2012-03-01 |
Last Update Date | 2012-03-01 |