| NPI | 1467955823 |
|---|---|
| Former Name | FAITH DANIELLE CROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2019-04-21 |