| NPI | 1144351313 |
|---|---|
| Former Name | SABRINA RAE FORDHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IA 078858) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2017-01-31 |