| NPI | 1003837691 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer | 
| Additional Taxonomies | 225500000X Specialist/Technologist | 
| Enumeration Date | 2006-07-21 | 
| Last Update Date | 2025-09-11 |