| NPI | 1134687387 |
|---|---|
| Former Name | KATHRYN ELIZABETH TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: OH AT003747) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2021-09-22 |