| NPI | 1467739193 |
|---|---|
| Former Name | LINDSAY M AUGUSTINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: IL 096.002792) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2013-09-12 |