| NPI | 1164924338 |
|---|---|
| Former Name | ASHLEY LATTANZIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36002746A) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |