| NPI | 1891289971 |
|---|---|
| Former Name | AMANDA BEAL GARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 2941) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |