| NPI | 1952076333 |
|---|---|
| Former Name | BRENDA LOU KNIFFEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2015023436) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |