| NPI | 1750869871 |
|---|---|
| Former Name | MARI ELIZABETH FARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT003407) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |