| NPI | 1447224266 |
|---|---|
| Former Name | JESSICA HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0001017) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2022-07-21 |