| NPI | 1215605092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RTO000567) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: PA 1032565) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2021-09-05 |
| Last Update Date | 2023-12-18 |