| NPI | 1053729566 |
|---|---|
| Former Name | CHELSEA DAUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-2115) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |