NPI | 1275144891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174H00000X Health Educator |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2013008760) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2020-12-29 |