| NPI | 1033683222 |
|---|---|
| Former Name | JESSICA LEIGH CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: GA AT003682) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2022-11-30 |