| NPI | 1114445152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: 2000032760) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: OH 0176569) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2023-11-27 |