| NPI | 1285031005 |
|---|---|
| Former Name | STEPHANIE PAULIKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096.003354) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2022-12-29 |