| NPI | 1598118317 |
|---|---|
| Former Name | RANDALL ARMSTRONG WILKERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: FL AL2563) |
| Enumeration Date | 2016-07-16 |
| Last Update Date | 2016-07-16 |