| NPI | 1942617840 |
|---|---|
| Former Name | KATHERINE LEE HECKENBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 67002433) |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2022-04-29 |