| NPI | 1962545830 |
|---|---|
| Other Name | JAYNE MAIRE KITSOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 350-01) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2017-12-19 |