| NPI | 1033860440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: HI AT-395) |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: HI AT-395) |
| 207PS0010X Emergency Medicine, Sports Medicine (Licence: UT 12322664-4810) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: HI 12322664-4810) | |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2024-02-22 |