| NPI | 1811390669 |
|---|---|
| Former Name | KIMBERLY FRISSORA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT.003954) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2017-07-20 |