| NPI | 1952813347 |
|---|---|
| Former Name | MARY KATHLEEN MCCAULEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36002538A) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |