NPI | 1053813261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NC P107943) |
Enumeration Date | 2018-03-03 |
Last Update Date | 2018-03-03 |