| NPI | 1265874564 |
|---|---|
| Former Name | KATHERINE ROSE LAGUENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL2766) |
| Enumeration Date | 2013-07-27 |
| Last Update Date | 2013-07-27 |