NPI | 1982931184 |
---|---|
Former Name | KRISTA ANN HARKENRIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT004117) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 000648-1) |
Enumeration Date | 2009-11-09 |
Last Update Date | 2017-04-05 |