NPI | 1275368110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VT 43116703) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: VT 43116703) |
Enumeration Date | 2024-09-02 |
Last Update Date | 2024-09-02 |