| NPI | 1699737072 |
|---|---|
| Former Name | JENNIFER WILKINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT000969) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2010-03-17 |