| NPI | 1093085979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX 2000005850) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT4383) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: SC 1306) | |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-19 |