| NPI | 1093380107 |
|---|---|
| Other Name | AMY ELISE LEFGREN HEIBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36001586A) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |