| NPI | 1790750206 |
|---|---|
| Former Name | JULIE DALE CALVERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT3207) |
| Enumeration Date | 2006-02-18 |
| Last Update Date | 2007-07-08 |