NPI | 1700095213 |
---|---|
Former Name | JILL DANIELLE SCHNEPEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OK 329) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2008-03-24 |