| NPI | 1952012866 |
|---|---|
| Former Name | MADISON MICHAEL PRESTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RTO000245) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |