| NPI | 1871770958 |
|---|---|
| Former Name | COLLENE LOUISE MERLINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 001607-1) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2013-03-18 |