| NPI | 1225097959 |
|---|---|
| Former Name | JENNIFER JOY HARDIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0001164) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 1999135153) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-04-21 |