| NPI | 1073053716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CA E137305) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2026-03-30 |