NPI | 1215302955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MA ATL3408) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: RI AT00427) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-12-07 |
Last Update Date | 2024-01-26 |