| 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 |