| NPI | 1295511012 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN BAF-APP23-00025) | 
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 000230) | 
| Enumeration Date | 2023-09-06 | 
| Last Update Date | 2023-09-18 |