NPI | 1972028561 |
---|---|
Former Name | LUNDON KAY EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: GA AT003332) |
Enumeration Date | 2017-08-04 |
Last Update Date | 2023-01-26 |