| NPI | 1881093961 |
|---|---|
| Former Name | KATIE MARIE WEINZATL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 1464-39) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2015-05-28 |