| NPI | 1912412651 |
|---|---|
| Former Name | LEAH J ONDROVICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601000730) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |