NPI | 1831414069 |
---|---|
Former Name | JESSICA LEIGH STANLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2010-03-31 |
Last Update Date | 2020-03-25 |