| NPI | 1205898897 |
|---|---|
| Former Name | JANET LYNN GROESCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 96001995) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |