| NPI | 1306495122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 2279E1000X Respiratory Therapist, Registered, Educational |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |