| NPI | 1992764385 |
|---|---|
| Former Name | KATHRYN MEEHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: ME AT287) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: ME PT60013740) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2025-08-20 |