| NPI | 1396357190 |
|---|---|
| Former Name | KAYLA CZARNEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0001635) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |