| NPI | 1427605005 |
|---|---|
| Former Name | JUBILEE GRACE PRICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: GA AT003080) |
| Additional Taxonomies | 207PS0010X Emergency Medicine Sports Medicine (Licence: GA AT003080) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2023-03-19 |