| NPI | 1881058949 |
|---|---|
| Former Name | ASHLEY NICOLE ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: ID AT-454) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |