| NPI | 1295596013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601003117) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MI 2017040) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2025-06-19 |