| NPI | 1992498166 |
|---|---|
| Former Name | ALANYS NICOLLE MATOS ROMERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PR 6894713) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |