| NPI | 1770041428 |
|---|---|
| Former Name | KAILYN BROOKE OVERCASH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-2948) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |