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 |