| NPI | 1265462352 |
|---|---|
| Former Name | HEATHER R GARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OR AT-AT-1006886) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-03-08 |