| NPI | 1326340324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: ID AT-466) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: SC 997) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2013-07-02 |