| NPI | 1144780545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ ATR-008986) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: AZ E44148375) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |