| 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 |