| NPI | 1730954132 |
|---|---|
| Former Name | DAWN L TORKELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT003720) |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |