NPI | 1730173303 |
---|---|
Former Name | KIMBERLY LYNNE ZIRBEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 221-039) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MN 1562) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2011-12-06 |