| NPI | 1043778228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2021033470) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MN 989387) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA At004140) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2023-01-25 |