NPI | 1700576824 |
---|---|
Former Name | TROI NOELLE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX at6400) |
Enumeration Date | 2023-05-11 |
Last Update Date | 2023-05-11 |