| NPI | 1568941227 |
|---|---|
| Former Name | TANIKA TOWNSON SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT003253) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |