| NPI | 1104508167 |
|---|---|
| Former Name | SIERRA LOUISE HOLCOMB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT2521) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |