| NPI | 1679066773 |
|---|---|
| Former Name | JENNIFER DAILY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096001303) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |