| NPI | 1750419081 |
|---|---|
| Former Name | ERICA LYNNE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CT 000144) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |