| NPI | 1033640578 |
|---|---|
| Former Name | MORGAN KATHLEEN MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 1291) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2017-03-26 |