NPI | 1972227536 |
---|---|
Other Name | MELANIE O'NEILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TN 3253) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-5668) |
Enumeration Date | 2022-09-28 |
Last Update Date | 2024-09-29 |