NPI | 1962913277 |
---|---|
Former Name | SARAH EMILY MANLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT003592) |
Enumeration Date | 2017-10-14 |
Last Update Date | 2024-02-15 |