| NPI | 1881048668 |
|---|---|
| Former Name | SAMANTHA HILLIARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TN 2275) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT002825) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2021-02-10 |