| NPI | 1124877220 |
|---|---|
| Former Name | MARY ROSINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601000182) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2026-02-13 |