NPI | 1134321821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: NY 001203-01) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: NJ 25MT00126500) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2020-01-23 |