NPI | 1740768597 |
---|---|
Former Name | CAITLYN CHRISTINE MCKINLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: LA ATH.200387) |
Enumeration Date | 2018-08-03 |
Last Update Date | 2018-08-03 |