NPI | 1841577996 |
---|---|
Former Name | KATHERINE ELISSE MORIGAKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MN 2593) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36001598A) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MA 1927) | |
Enumeration Date | 2011-11-03 |
Last Update Date | 2015-06-30 |