| 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 |