| NPI | 1689295909 |
|---|---|
| Former Name | BRIANNA LYNNE VALDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: CO AT.0001795) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2022-01-31 |