| NPI | 1043751266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RTO000069) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT002402) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00152100) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |