| NPI | 1124572821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 174400000X Specialist |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |