NPI | 1558102210 |
---|---|
Former Name | KALEY LAUREN COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT9776) |
Enumeration Date | 2024-06-05 |
Last Update Date | 2024-06-05 |