NPI | 1912306168 |
---|---|
Former Name | SARA KATHERINE HEMMICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36001827A) |
Enumeration Date | 2014-08-13 |
Last Update Date | 2019-10-17 |