| NPI | 1821563677 |
|---|---|
| Other Name | AMANDA KRISTINE OBERLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT002410) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |