| NPI | 1821767849 |
|---|---|
| Former Name | MICHELLE CHRISTINE COONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |