NPI | 1598880809 |
---|---|
Former Name | LISA MARIE MALOLEPSZY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 000933) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2014-03-25 |