| NPI | 1538406327 |
|---|---|
| Former Name | MEGAN IVY HAMMONDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT003829) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126001918) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2025-10-01 |