NPI | 1558968792 |
---|---|
Former Name | KATRINA JAVIER TRINIDAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 1782) |
Enumeration Date | 2020-10-01 |
Last Update Date | 2020-10-01 |