NPI | 1942496088 |
---|---|
Former Name | AMANDA LYNN SCHILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IA 000692) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 96002245) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NE 527) | |
Enumeration Date | 2007-09-22 |
Last Update Date | 2016-11-03 |