| NPI | 1134157423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: MA 8265) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NH 0218) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MA 1472) | |
| 246Z00000X Specialist/Technologist, Other (Licence: NH 947) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-04-26 |