| NPI | 1689218729 |
|---|---|
| Former Name | NATALIE JO SELLERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KS 24-00849) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |