| NPI | 1235516295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096.004600) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126002295) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36002187A) | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2022-10-11 |