NPI | 1659867372 |
---|---|
Former Name | CHELSEA MARIE ESSENMACHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: SD 0546) |
Enumeration Date | 2018-07-05 |
Last Update Date | 2018-07-05 |