| NPI | 1023859055 |
|---|---|
| Other Name | LIVVY RED SHIPPY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ D10650975) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2026-06-10 |