NPI | 1699128850 |
---|---|
Former Name | MEGAN PLUMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ ATR-009173) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT6304) |
Enumeration Date | 2016-07-22 |
Last Update Date | 2022-11-08 |