| NPI | 1427326545 |
|---|---|
| Former Name | AMANDA NICOLE ROLIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: NC LAT-2890) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126001719) | |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2023-06-28 |