NPI | 1104397603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT006277) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-12-09 |
Last Update Date | 2020-11-09 |