| NPI | 1730536418 |
|---|---|
| Former Name | JULIE M WHITEHEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126000689) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2022-08-25 |