| NPI | 1730460825 |
|---|---|
| Former Name | MARISA LAUREN HARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT. 002887) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2012-11-14 |