| NPI | 1306233655 |
|---|---|
| Former Name | STACEY NAUMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MN 3841) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WA A160417201) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2026-02-01 |