NPI | 1851583942 |
---|---|
Former Name | JORDAN NICOLE RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NE AT.0000863) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2023-11-02 |