NPI | 1609309921 |
---|---|
Former Name | EMILY HOTCHKISS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 2103-39) |
Additional Taxonomies | 405300000X Prevention Professional (Licence: MO 2016032963) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2020-08-11 |