| NPI | 1376945972 |
|---|---|
| Former Name | AMY SUZANNE DWYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0000645) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |