| NPI | 1164663944 |
|---|---|
| Former Name | JULIE KATHRYN WALSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VT 104-0000161) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2019-07-08 |