NPI | 1639139769 |
---|---|
Former Name | SARA J MCKINLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36001261A) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2019-02-25 |