NPI | 1982931184 |
---|---|
Former Name | KRISTA ANN HARKENRIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: AZ ATR-100090) |
Enumeration Date | 2009-11-09 |
Last Update Date | 2025-09-06 |