| NPI | 1841608098 |
|---|---|
| Former Name | LIEAH ZAVRID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CA BOC#2000012169) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2021-03-11 |