| NPI | 1730285859 |
|---|---|
| Former Name | JENNIFER D HERMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OR AT-AT-1006907) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2015-10-09 |