| NPI | 1427271279 |
|---|---|
| Former Name | JENNIFER NICOLE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 0890) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2009-02-04 |