| NPI | 1619035680 |
|---|---|
| Former Name | JENNIFER ELAINE SEBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 1285) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2021-01-07 |