| NPI | 1881083376 |
|---|---|
| Former Name | MAGDALENA MARIE WINTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WA A160240614) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |