| NPI | 1942867924 |
|---|---|
| Former Name | CHRISTINE C MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: NY 001069-1) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |