| NPI | 1568977528 |
|---|---|
| Former Name | LISA HOLZHAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: DE J3-0000521) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |