NPI | 1902411796 |
---|---|
Former Name | RACHEL ANN NEIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126003750) |
Enumeration Date | 2020-09-09 |
Last Update Date | 2025-02-13 |