| NPI | 1548534928 |
|---|---|
| Former Name | SARAH L LISOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 1121-39) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |