| NPI | 1215569561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT007745) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00349600) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0002787) | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2026-07-28 |