| NPI | 1760921852 |
|---|---|
| Former Name | TAYLOR JEAN ASHCRAFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO 200021746) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2018-08-01 |