NPI | 1245397389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OK 763) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AR AT 289) |
Enumeration Date | 2007-01-01 |
Last Update Date | 2015-03-27 |