NPI | 1568424695 |
---|---|
Former Name | BROOKE C KEMEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WA A160047407) |
Enumeration Date | 2006-04-04 |
Last Update Date | 2022-10-13 |