NPI | 1992178289 |
---|---|
Former Name | BRIANNA HARPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-4144) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
2255A2300X Specialist/Technologist, Athletic Trainer | |
Enumeration Date | 2015-11-09 |
Last Update Date | 2021-05-11 |