NPI | 1891380556 |
---|---|
Former Name | SKYLA KARALEE CLIFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AL 2067) |
Enumeration Date | 2021-03-04 |
Last Update Date | 2021-03-04 |