| NPI | 1730533704 |
|---|---|
| Former Name | BRANDI LYNN CALDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT-0001318) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |