| Name | Description | Type | Additional information |
|---|---|---|---|
| ProviderId | string |
None. |
|
| FirstName | string |
None. |
|
| LastName | string |
None. |
|
| Address1 | string |
None. |
|
| Address2 | string |
None. |
|
| City | string |
None. |
|
| ZipCode | string |
None. |
|
| Phone | string |
None. |
|
| Sex | string |
None. |
|
| Birthdate | date |
None. |
|
| Status | string |
None. |
|
| License | string |
None. |
|
| Position | string |
None. |
|
| ItdUserId | integer |
None. |