NPI | 1609029180 |
---|---|
Former Name | ANNA KRASOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00089300) |
Enumeration Date | 2008-10-29 |
Last Update Date | 2008-10-29 |