NPI | 1992460679 |
---|---|
Former Name | KAYLEY SLONE CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT5564) |
Enumeration Date | 2021-11-08 |
Last Update Date | 2022-09-09 |