NPI | 1619937612 |
---|---|
Other Name | BETSY BROWN FEUTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096-002011) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2007-07-08 |