| NPI | 1063523215 |
|---|---|
| Former Name | KATHERINE SAMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 001777) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-12-12 |