| NPI | 1568974319 |
|---|---|
| Former Name | MANDY YVONNE WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KY AT1331) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |