| NPI | 1821448937 |
|---|---|
| Former Name | JAMIE RUE PICKARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT006260) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |