NPI | 1992922199 |
---|---|
Former Name | ELIZABETH ANN NIEBUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MN 1957) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2013-05-31 |