| NPI | 1487299319 |
|---|---|
| Former Name | DEVON CLAIRE FEGLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: DE J3-0000302) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2020-04-20 |