| NPI | 1538350061 |
|---|---|
| Former Name | DANA NICOLE HENDRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IA 00604) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2012-01-20 |