NPI | 1225592538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT005293) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KY AT1450) | |
Enumeration Date | 2019-01-31 |
Last Update Date | 2025-08-31 |