| NPI | 1538710629 |
|---|---|
| Former Name | KRISTEN ABBOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RTO000124) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |