NPI | 1215392295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 000039868007) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 000039868007) |
Enumeration Date | 2015-12-17 |
Last Update Date | 2015-12-17 |