NPI | 1700932191 |
---|---|
Former Name | CATHERINE MARIE LAFOREST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: SD 0044) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2007-07-08 |