| NPI | 1174064299 |
|---|---|
| Former Name | SHIRLEY ANN TOMTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT006181) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2025-11-06 |