| NPI | 1730401399 |
|---|---|
| Former Name | XAVION SADE CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MD A00368) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 1545) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2018-03-17 |