| NPI | 1598901985 |
|---|---|
| Former Name | COREY ALISON MCNANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126000890) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: VA B081110705) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |