NPI | 1922610500 |
---|---|
Other Name | ALEXIS ELROD WALDROP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: SC 200003252) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2020-08-17 |