NPI | 1922550227 |
---|---|
Former Name | KAYLA CHRISTINE YATES SQUIRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0000931) |
Enumeration Date | 2016-11-03 |
Last Update Date | 2019-08-05 |