NPI | 1639663339 |
---|---|
Former Name | BRITTANY ANN VORNDRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00178700) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2018-06-18 |