| NPI | 1194536011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: PA 8051-1614-4536) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |