NPI | 1841894995 |
---|---|
Former Name | BRITTANI M HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36001755A) |
Enumeration Date | 2020-11-29 |
Last Update Date | 2024-06-05 |