| NPI | 1225570641 |
|---|---|
| Former Name | TAMARIA HOLLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601001384) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2020-06-15 |