NPI | 1871987958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224L00000X Pedorthist |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MI 3640200) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2015-03-26 |