| 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 |