NPI | 1750747465 |
---|---|
Former Name | SHERYL L WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096.000537) |
Enumeration Date | 2016-01-11 |
Last Update Date | 2016-01-11 |