| NPI | 1821394818 |
|---|---|
| Former Name | CHRISTINA JENIFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126001794) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2013-02-25 |