| NPI | 1215533971 |
|---|---|
| Former Name | BROOKE LEIGH TROWBRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT00613) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-08 |