| NPI | 1649498205 |
|---|---|
| Former Name | JAMIE MARIE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: LA J00236) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |