NPI | 1316336126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-3629) |
Additional Taxonomies | 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: SC 1575) | |
Enumeration Date | 2015-01-16 |
Last Update Date | 2024-01-18 |