NPI | 1770121071 |
---|---|
Former Name | CHELSEA MARIE LOHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO 0002107) |
Enumeration Date | 2019-12-17 |
Last Update Date | 2019-12-17 |