| NPI | 1588890222 |
|---|---|
| Former Name | SHARON WIORKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096-001511) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |