NPI | 1801346531 |
---|---|
Former Name | SAVANA D KRAFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WY 184) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AK 116043) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AT8108) | |
Enumeration Date | 2016-10-05 |
Last Update Date | 2022-05-18 |