NPI | 1295012334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MN 2309) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: ND 421-11) |
Enumeration Date | 2011-11-03 |
Last Update Date | 2011-11-19 |