| NPI | 1669859195 |
|---|---|
| Former Name | CHRISTINE MARIE MAYOROS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MI 2601000773) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |