| NPI | 1134237811 |
|---|---|
| Former Name | JACQUELINE ROSE GAIDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126000528) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2014-08-06 |