| NPI | 1679859888 |
|---|---|
| Former Name | ERIN MARIE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096.002980) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |