| NPI | 1053840413 |
|---|---|
| Former Name | JACQUELINE ANNE LLOYD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: GA AT004124) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO 2000028113) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-08-13 |