| NPI | 1003525718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00294200) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-5962) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KY AT1215) | |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2025-11-15 |