| NPI | 1841513124 |
|---|---|
| Former Name | VERONICA JO SERNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ 079102615) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |