| NPI | 1962160929 |
|---|---|
| Former Name | JESSE R LITTLEFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: ME AT824) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |