| NPI | 1326238437 |
|---|---|
| Former Name | KELLI MARIE LAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT003834) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |