| NPI | 1922316611 |
|---|---|
| Former Name | MINDI ANN DAURIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT004503) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2021-03-02 |