| NPI | 1841894995 |
|---|---|
| Former Name | BRITTANI M MOORE |
| 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 | 2020-11-29 |