| NPI | 1932376423 |
|---|---|
| Former Name | JOANNE TEMPLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00103700) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |