| NPI | 1316910003 |
|---|---|
| Former Name | MATTHEA SHERRELL HUNGERFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT5289) |
| Enumeration Date | 2006-02-11 |
| Last Update Date | 2020-09-29 |