| NPI | 1912182015 |
|---|---|
| Former Name | MARY CAMILLE EATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT-2710) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |