NPI | 1891200127 |
---|---|
Other Name | ALLIE PALMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT003410) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL4558) |
Enumeration Date | 2017-12-08 |
Last Update Date | 2019-08-13 |