| NPI | 1184191652 |
|---|---|
| Former Name | LYNN MARIE WOLZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36002760A) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2024-12-04 |