| NPI | 1407403066 |
|---|---|
| Former Name | NATALIE LAVERNE ODIORNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-4886) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2023-08-31 |