| NPI | 1154302362 |
|---|---|
| Former Name | AMY ELIZABETH DOVERSPIKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 725039) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2007-07-08 |